First name. *

Family name *

Nationality *

Occupation / Profession *

Street and house number *

City *

Postcode *

Country *

Phone 1 *

Phone 2

Date of Birth * (dd/mm/yyyy)

Email *

Skype

Twitter name

Websites To help us prepare your course, please provide up to 3 website addresses that are relevant to you. Eg: your personal website / your company or school website / your favourite website / a favourite Youtube clip

Home contact for problems (parent's details if enrolment is for a Junior student)

This is who you should contact if there is any problem while I am with you:
(For Junior students, this MUST be mother and or father or legal guardian)

Name

Relationship

Phone home

Phone work

Phone mobile

If yes, please tell us if you would like, if possible, to have the same family and/or teacher and give their names Yes
No

Your course will usually start the day after you arrive and finish the day before you leave.

Arrival date

Departure date

Tuition ratio 1:1
2:1

Please give name of second student, who should complete separate booking form

Adult General
Business

Junior Junior

What is your current level of English? A1 beginner
A2 elementary/pre-intermediate
B1 intermediate
B2 upper-intermediate
C1 advanced
C2 proficiency

Hours per day: 3
4
5
6
7
8

Students aged 16 and 17 will have this included in their package.

If you are aged 18-30 you can opt for this as an extra. We recommend it if you are taking not more than 3 or 4 hours’ tuition, to make your day more complete and to further enhance your English language development.

I would like the option of a volunteer placement

How and where do you use your English currently? Have you taken any English language exams? If yes, please give names and grades.

What benefits do you hope to achieve from your English Naturally course?

What are your interests and hobbies?

If yes, number of half-day sessions:

Tell us if you want any Extras

Accommodation Type Single
Double

If double, name of second client

Standard
(All Junior bookings are on a Standard basis)
Prestige

All students under 18 must book a transfer, unless they are travelling with someone over 18.

I need a taxi on arrival Yes

If you do not yet know your flight details, please indicate the UK airport you think you will use

I need a taxi on departure Yes

If you have flight details now, please enter below. If not, please let us have details not later than one week before arrival.

Coming from (city/country)

Arrival Airport

Airline

Flight number

Arrival time

Departure airport (if different from above)

Flight departure time

Do you smoke? Yes

Smoking – It is now very difficult to accommodate smokers, due to changes in legislation and because smoking is not allowed by most families in private homes. We will find the best solution possible for you (for example, if you are with a host family, some allow smoking inside, and most allow it in the garden). We cannot guarantee to find you accommodation where smoking is allowed inside.

Are you: Vegetarian
Vegan
Coeliac

Please let us know if you have any serious allergies (eg to cats, peanuts).

How did you hear about English Naturally?

Please add any useful notes for us in relation to your booking

I have read your terms and conditions * Yes

You do not need to pay when you enrol. Once everything is finalised we will send you an invoice to be paid one month before arrival.